Business License Application

Please print this page and return it to City Hall

CORINNE CITY

BUSINESS LICENSE APPLICATION

YEAR ____________ DATE________________

NEW______________ RENEWAL__________

BUSINESS NAME: _______________________________________________

NATURE OF BUSINESS: ___________________________________________________

BUSINESS PHYSICAL ADDRESS: ___________________________________________________

BUSINESS MAILING ADDRESS: ___________________________________________________

BUSINESS PHONE: ____________________________________________________

HOME PHONE: _____________________________________________________

OWNER/MANAGER NAME PRINTED: _____________________________________________________

OWNER/MANAGER SIGNATURE: _____________________________________________________

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- OFFICE USE ONLY –

HOME BUSINESS $25.00 _________

COMMERCIAL BUSINESS $25.00 _________

CLASS A BEER LICENSE (Off premises) $200.00 ___________

CLASS B BEER LICENSE (On premises) $250.00 ___________

CLASS D BEER LICENSE (Sunday beer) $350.00 ___________

FIRE INSPECTION $10.00 __________

PENALTY FEE OF 50% (If paid after January 1st.) _________

TOTAL LICENSE FEE _____________

* After January 31st a $50.00 citation will be issued.
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